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What Do My Lab Test Results Indicate?

Posted on Wed, 27 Apr 2016

Question: I did the following as per your advice and the test results are in below:
1. ACID FAST STAIN (SPUTUM) CONVENTIONAL

AFB SMEAR - No AFB seen

2. GRAM STAIN SPUTUM (CONVENTIONAL)

PUS CELLS - Occasional

EPITHELIAL CELLS - Occasional

BACTERIA - Gram positive cocci, Gram negative rods

3. CULTURE AND SENSITIVITY SPUTUM (CULTURE)

PUS CELLS - Occasional

EPITHELIAL CELLS - Occasional

BACTERIA - Gram positive cocci, Gram negative rods.

GROWTH OBSERVED - Normal Flora

The above are my medical report I received today. I haven't yet taken up any medical treatment. I will be waiting answer from you Doctor. Please explain and advise me. Thanks

Answered by Dr. Anshul Varshney (4 hours later)

Brief Answer:
Bacterial Pneumonia

Detailed Answer:
Hello, Welcome back. Your reports are suggestive of bacterial pneumonia only and there is no evidence of tuberculosis.

Now, the treatment depends on your current symptoms. So let me know if you have persisting fever and cough.
Revert with the asked details for a better help.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Anshul Varshney (51 minutes later)

I have no cough and yes there is persisting fever in me though no high and weight loss by two and half kg within this 25 days. My present other health problems are high BP, borderline diabetes, fatty liver, fistula in-ano. I have still discomfort in the spot of surgery done for right Inguinal Hernia three years ago. Others I have no problem. Please explain about Bacterial Pneumonia and the necessary for this treatment. Thank you Doctor

Answered by Dr. Anshul Varshney (6 hours later)

Brief Answer:
Get CT Chest

Detailed Answer:
Dear Friend,
Your persisting fever requires evaluation for persisting bacterial pneumonia, fungal pneumonia or even tuberculosis despite of sputum test negative.
Since you have got your sputum test done after antibiotics, then you would need to get a CT scan for the purpose, as after antibiotic intake, sputum culture can come negative despite of presence of infection.
If you have any further query, please ask me.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Anshul Varshney (15 minutes later)

Last date of taking antibiotic was on 09-02-2016 and blood and urine culture and sensitivity test was done on 17-02-2016. Sputum AFB, sputum gram stain, culture and sensitivity were done on 20-02-2016. After how many days will it be safe for test to be done. I don't want to go for CT Scan because of radiation for I had done thrice in the past on my neck. Doctor please advise me once more. Thanks

Answered by Dr. Anshul Varshney (2 hours later)

Brief Answer:
Not required to repeat.

Detailed Answer:
Hi, If you don't want to go for CT due to radiation , then you may go for MRI chest that would clear the picture of what the lung consolidation in chest X-ray is.
There is no need of getting a repeat Sputum culture as it may come back negative again.
I hope it helps you.
If you have any further query, please ask me.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar